go back

Maine rates for HCPCS 52301

Cysto W/Resecj Ectopic Ureterocele Uni/Bi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,188.14 / $5,188.14 / $8,070.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.34 / $370.34 / $423.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.26 / $386.54 / $585.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.75 / $428.51 / $613.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.45 / $410.14 / $629.17
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,188.14 / $5,188.14 / $8,070.45
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.34 / $370.34 / $423.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.45 / $413.11 / $566.90